Individual
ANNA E FOOTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5651 N ROCKWELL ST APT 1, CHICAGO, IL 60659-4907
(815) 218-7416
Mailing address
5651 N ROCKWELL ST APT 1, CHICAGO, IL 60659-4907
(815) 218-7416
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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